回憶治療改善機構老人憂鬱狀態之成效探討

The Effects of Reminiscence Therapy on Depressed Institutionalized Elderly

10.6224/JN.49.4.43

蕭秋月(Chiu-Yueh Hsiao)；尹祚芊(J. C. Teresa Yin)；徐畢卿(Bih-Ching Shu)；葉淑惠(Shu-Hui Yeh)；李怡娟(I-Chuan Li)

憂鬱 ； 回憶治療 ； 安養護機構 ； 老人 ； depression ； reminiscence therapy ； long-term care facilities ； elderly

護理雜誌

49卷4期（2002 / 08 / 01）

43 - 53

繁體中文

The purpose of this intervening evaluation study was to investigate how reminiscence therapy may lessen the depression level of elderly people in long-term care institutions. Elders who were subjects of this study suffered minor depression with GDS scored 11 and above. Reminiscence therapy was implemented as the tool to ameliorate residents' depression level activities. The depression levels of the elders prior to and after the intervening activities were recorded, monitored and compared. A total of nine elderly residents participated in all of eight intervening activities over a twomonth period. The therapy comprised four stages: assessment, introduction, activity, and evaluation. According to results of this study, the average age of subjects was 74.56 years. Most of the subjects were males who were born in Mainland China and had graduated from high or vocational school. Many of them were married, and without any religious beliefs. The average length of their stay in the institution was 10.8 months. The expenses for the institution were covered by the elder's retirement pay or paid by their children. Children and friends visited the subjects in this study most frequently. On average, each was visited 2.2 times per month. The most common reason why they chose to stay in the institution was to avoid bothering their family. High blood pressure and cardiovascular disease were the two most common medical diagnoses for subjects, and many of them suffered both. Based on the Wilcoxon Signed Ranked Test, the depression level of our subjects of study had decreased from a score of 21.67 prior to the intervening therapy to a score of 14.44 after the intervening therapy. The average score for depression had also decreased from 0.64 to 0.47. A total decrement of 0.17 points was observed and the result was statistically significant (Z = - 2.670, p ＜ .01). According to the results of this study, reminiscence therapy can help subjects to lessen their depression level through enhancement of self-control, self-recognition, socialization, and sense of achievement. Suggestions of this study are that longterm care institution may utilize meaningful objects or events as the tools for raising residents' reminiscence. In addition, activities with caring attitude such as touching, massaging, and ROM exercising would also help to establish a therapeutic relationship with compassion, respect, concern and acceptance with residents in order to lessen depression levels and improve the health status of the elderly.

The purpose of this intervening evaluation study was to investigate how reminiscence therapy may lessen the depression level of elderly people in long-term care institutions. Elders who were subjects of this study suffered minor depression with GDS scored 11 and above. Reminiscence therapy was implemented as the tool to ameliorate residents' depression level activities. The depression levels of the elders prior to and after the intervening activities were recorded, monitored and compared. A total of nine elderly residents participated in all of eight intervening activities over a twomonth period. The therapy comprised four stages: assessment, introduction, activity, and evaluation. According to results of this study, the average age of subjects was 74.56 years. Most of the subjects were males who were born in Mainland China and had graduated from high or vocational school. Many of them were married, and without any religious beliefs. The average length of their stay in the institution was 10.8 months. The expenses for the institution were covered by the elder's retirement pay or paid by their children. Children and friends visited the subjects in this study most frequently. On average, each was visited 2.2 times per month. The most common reason why they chose to stay in the institution was to avoid bothering their family. High blood pressure and cardiovascular disease were the two most common medical diagnoses for subjects, and many of them suffered both. Based on the Wilcoxon Signed Ranked Test, the depression level of our subjects of study had decreased from a score of 21.67 prior to the intervening therapy to a score of 14.44 after the intervening therapy. The average score for depression had also decreased from 0.64 to 0.47. A total decrement of 0.17 points was observed and the result was statistically significant (Z = - 2.670, p ＜ .01). According to the results of this study, reminiscence therapy can help subjects to lessen their depression level through enhancement of self-control, self-recognition, socialization, and sense of achievement. Suggestions of this study are that longterm care institution may utilize meaningful objects or events as the tools for raising residents' reminiscence. In addition, activities with caring attitude such as touching, massaging, and ROM exercising would also help to establish a therapeutic relationship with compassion, respect, concern and acceptance with residents in order to lessen depression levels and improve the health status of the elderly.